硬化性乳腺病超声误诊原因分析  

The ultrasonic misdiagnosis reason of sclerosing mastopathy

作　　者：王澂[1] 方军初[1] 陈明[1] 金珏玛 张迎春[1] 顾文勇[1] 冯一中[2] 

机构地区：[1]苏州大学附属第二人民医院超声诊断室,215004 [2]江苏省苏州大学医学院病理教研室

出　　处：《中国现代医药杂志》2007年第6期38-39,共2页Modern Medicine Journal of China

摘　　要：目的探讨硬化性乳腺病超声误诊的原因。方法对8例经病理证实的硬化性乳腺病的超声声像图进行回顾性分析。结果均为回声不均质的低回声肿块,其中3例检出粗大的钙化灶,后方伴声影。多数肿块纵/横比<1(7/8);仅1例纵横比>1,但<1.5。均无包膜,边缘多不规则、不整齐(6/8)。5例后壁回声不清晰,后方回声衰减(5/8);3例后壁回声清晰。彩色多普勒超声(CDFI):5例未检及明显彩色血流信号(5/8);3例于肿块边缘检及彩色血流信号,按Alder分级方法均为1级,RI指数<0.7。结论二维超声结合CDFI检查在硬化性乳腺病与乳腺恶性肿瘤鉴别诊断中有良好的临床应用价值。Objective To discuss the reason of the ultrasonic misdiagnosis in sclerosing mastopathy. Methods 8 cases of selerosing mastopathy confirmed by operation and pathology, were reviewed. Results Most cases of transverse-longitudinal axis ratio were below 1, only 1 case was above 1 but below 1.5（7/8）.Also most cases without rich flows inside or peripheral （5/ 8）. Only 3 cases had thickly calcifications. Conclusions Two dimensional uhrasonography and CDFI were important to diagnosis for sclerosing mastopathy.

关 键 词：硬化性乳腺病 超声 二维 彩色多普勒 

分 类 号：R445.1[医药卫生—影像医学与核医学]